Medical Journal Houston Vol. 11, Issue 8, November 2014

Legal Affairs: OIG signals more lenient view on certain arrangements in proposed rule, see page 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The Leading Source for Healthcare Business News November 2014 • Volume 11, Issue 8 • $3.50 Special Report: Growth and Expansion Planning INSIDE ▼ Moon Shots program begins to spin off innovation see page 12 INDEX ▼ Financial Perspectives.......3 Legal Affairs......................4 Breaking Ground............5 Integrative Medicine.........6 Physicians Forum.............7 Hospital Headlines.........12 THA................................13 Texas Children’s Hospital redefines patient care with satellite campus business model By Gary Owens, AIA, ACHA, LEED AP, Senior Principal, FKP Architect The ability to support overall organizational strategy while simultaneously creating value for patients and the organization is an unfamiliar and untested business model for many hospitals. Yet, it’s a change Texas Children’s Hospital believes must occur to meet the demand for readily accessible services in growing areas. Texas Children’s recognizes that patients and families do not access care in the same way they have historically, and that it’s the hospital’s responsibility to evolve its care model to meet the needs of its patients. In response, Texas Children’s has taken an innovative approach to its growth strategies through investment in satellite hospital campuses which offer more services than traditional community clinics and health care centers. They believe providing care at a satellite campus creates value for both the patient and the organization through increased access and an enhanced patient experience. Texas Children’s Hospital The Woodlands, currently in design in The Woodlands area north of Houston, is the latest project to come out of the hospital’s new business model. From concept to creation, the new campus will solidify the way the hospital and its partners deliver health care services. Book Review: Integrative Nursing see page 6 . . . . . . . . . . . . Focus & Feasibility For more than 10 years, Texas Children’s has operated The Woodlands Health Center, offering specialty care, supported by inpatient pediatric and neonatal care at neighboring St Luke’s The Woodlands Hospital. However, the acute and critical Rendering of the new Texas Children’s Hospital campus in The Woodlands care required for children has always been somewhat difficult for an adult hospital. As well, population growth in The Woodlands area has created considerable stress on the existing Houston-based hospitals and clinics. The Woodlands population already exceeds 1.1 million people, with 30 percent of the people under 18 years of age. The area is expected to realize double digit growth over the next three years. In light of growth and the need for easier patient access, Texas Children’s sought to provide more services than were possible at the Health Center and put into practice the recently successful health care expansion business model of Texas Children’s Hospital West Campus in Katy, Texas. In late 2012, Texas Children’s called on FKP Architects to prepare a feasibility study for a full-service satellite campus. The study outlined specific services that could be successful at the satellite campus and evaluated land for the purpose of creating a second Texas Children’s-owned full service satellite campus. Soon after, the hospital opted to pursue a multi-phased care service and building approach. Considering Operationalization With guidance from FKP, Texas Children’s focused on operationalization, or putting the initial strategic plan in motion. The goal of this phase of the business model was to define the satellite’s individual purpose, as well as its greater role within the organizational strategy. The broad considerations addressed required involvement of hospital administrators, medical staff and board members to get a holistic view of how a satellite might function on day 1, day 1,000 and beyond. Please see GROWTH AND EXPANSION page 14 PRSRT STD US POSTAGE PAID HOUSTON TX PERMIT NO 13187